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Home My WebLink AboutBLDE-22-006501 RECEIVED •'A• AY 112422 0 •nweatth of Maeeachuestie Official Use Only Permit No /c 'iatec / v , ,,ING UE'ARTME .artnsnE oi }iro Serviced_ 11.41. i.• ' ' • • FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev. 1/07] (leave blank) _ \ APPLICATION FOR PERMIT TO PERFORM ELECTRI AL WORK `V All work to be performed in accordance with the Massachusetts Electrical Code(Mc),i 27 C • 12.01 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: iTh 2-'s City or Town of: YARMOUTH To the Inspecto of wires: By this application the undersign ves gytice o t or er entign to perform the electric:. work described below. Location(Street&Number) 5 ,fv� Owner or Tenant (�' r /746,11-4" Telephone No. Owner's Address/ _- Purpose of Building Is this permit in conjuncts with a j fling No 0 (Check Appropriate Box) + g e1'/pfi// permit? Yes Utility Authorization No. Existing Service J/(; Amps / o `� ��' Its Overhead D41 Undgrd 0 No.of Meters / New Service Amps / Volts Overhead ,_ Number of Feeders and Ampacity ❑ Undgrd 0 No.of Meters LI Location and Nature of Proposed Electrical Work: e learil,Z7CglifP C al,f kri ,v Com.letion o the ollowin_•table m, be waived b the In .ector o Wires. U! No.of Recessed Luminairesell ! No.of Cell.-Sasp.(Paddle)Fans °•° ota "2,1 No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA 4CA " No.of Luminaires Swimming Pool • ' 'Ve n- 'o•o mergency g n '"` No.of Receptacle Outlets � ii ' °d• ❑ ng nd• 0 Batte Units No.of Oil Burners FIRE ALARMS No.of Zones 4= No.of Switches No.of Gas Burners 'o.o t etec on an 11 r No.of Ranges Initiadn, Devices No.of Air Cond. ota No.of Waste Disposers eat 'ump m uer osns, N No.of Alerting Devices o e - onta ne. No.of Dishwashers DetetectioNAlertin Devices ~"\ Totals: Space/Area Heating KW Local 0 •un crp• No.of Dryers Heating Appliances KW ecu ty Cystemson 0 otter "o.o "a er KW .o•o ° o No.of Devices or E.uivalent Heaters Si:ns Ballasts Data WIring: No.Hydromassage Bathtubs No.of Motors No.of Devices or E.uivalent Total HP a ecommun ca.ons " .g• OTHER: No.of Devices or E.uivalent Estimated Value Attach additional detail if desired,or as required by the Inspector of Wires. f E ectr cal ork: Work to Start: (When required by municipal policy.) �, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ' GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provi• s p •.f of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND 0 OTHER 0 (Specify:) I certify,under the pains and nalties of perjury,that the information n this ap.lication is true and complete FIRM NAM Licensee: LIC.NO.: _! ,itaar�� i Signature /1 / ' , (if applicabler�en "exempt pile fie= en er rtrp.) f� LIC.NO.:� y2=—�-f�Address: (/�% 9f7 ' J ` '��' Bus.Tel.No.�77 �9M.G.L.c. 147,s.57-6ecurity work requires Departm o PubliSafety S License:e Alt.L c.No.'s/ ' OWNER'S INSURANCE WAIVER: I am aware that the Li msec does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 Owner/Agent owner ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ of ? ,Le Commonwealth of Official Use Only Permit No. BLDE-22-006501 111 Massachusetts y BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:5/11/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 12 SYRITHAS WAY Owner or Tenant HACKETT JAMES P III Telephone No. Owner's Address HACKETT MARY SUE, 301 MUSTERFIELD RD,CONCORD, MA 01742 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Addition&alterations Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 14 No.of Ceil:Susp.(Paddle)Fans No.of Total ' Transformers U.41---- No. VANo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiating Devices —1 No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauiv�lent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage j. is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: EDWARD M LYNCH Licensee: Edward M Lynch Signature LIC.NO.: 35609 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 WIDGEON LN,WEST YARMOUTH MA 026733818 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 20L)-01 <1'14 (vz2 f i /z / , -1 N